Individual provider Active NPI

Malgorzata Inga Orcutt, LMFT

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1619419181
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 53599 Issued in CA
Practice address
1211 Puerta del Sol
Suite 280
San Clemente, CA 92673-6306
Phone
(949) 276-5553
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 53599 CA Primary

Addresses

Primary practice location

1211 Puerta del Sol
Suite 280
San Clemente, CA 92673-6306

Mailing address

1211 Puerta del Sol
Suite 280
San Clemente, CA 92690
Phone (949) 554-9481

Other identifiers 1

IdentifierTypeStateIssuer
LMFT 53599OtherCABOARD OF BEHAVIORAL SCIENCE

Other names 1

  • Malgorzata Inga Orcutt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 53599CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Malgoorzata Orcutt Corp Current Accepting new patients
Shreya Health of Texas, Inc Past Accepting new patients

Locations

2102 Business Center Dr
Irvine, CA 92612
Phone (562) 541-8950

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1619419181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PUERTA DEL SOL",
            "address_2": "SUITE 280",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92690",
            "telephone_number": "949-554-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PUERTA DEL SOL",
            "address_2": "SUITE 280",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736306",
            "telephone_number": "949-276-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCUTT",
        "first_name": "MALGORZATA",
        "middle_name": "INGA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 53599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCE",
            "identifier": "LMFT 53599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALGORZATA",
            "last_name": "ORCUTT",
            "middle_name": "INGA",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.